patient care assignment ppt

• My presentations

Auth with social network:

Download presentation

We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!

Presentation is loading. Please wait.

Chapter 21 Managing Patient Care

Published by Archibald Gaines Modified over 6 years ago

Similar presentations

Presentation on theme: "Chapter 21 Managing Patient Care"— Presentation transcript:

1 Copyright © 2011 by Mosby, Inc., an affiliate of Elsevier Inc. Chapter 20 Supervising and Evaluating the Work of Others.

Copyright © 2006 Elsevier, Inc. All rights reserved Chapter 14 Delegation in the Clinical Setting.

Sometimes you just have to let someone else do it!

Standards Definition of standards Types of standards Purposes of standards Characteristics of standards How to write a standard Alexandria University Faculty.

Twelve Cs for Team Building

Definitions Patient Experience Patient experience at NUH results from a range of activities that all impact upon patient care, access, safety and outcomes.

Leading Teams.

EFFECTIVE DELEGATION AND SUPERVISION

3 Delivering Nursing Care.

Staffing And Scheduling.

Implementation By Patricia M. Dillon Updated Spring 2010 Prof. Unn Hidle.

Implementation Chapter Copyright 2004 by Delmar Learning, a division of Thomson Learning, Inc. Purposes of Implementation  The implementation.

Coaching Workshop.

Delegation: An Art of Professional Practice

Quality Improvement Prepeared By Dr: Manal Moussa.

Communication. Levels of Communication 3 levels: Social,Therapeutic, Collegial – Social: interactions for the purpose of accomplishing tasks or building.

Delmar Learning Copyright © 2003 Delmar Learning, a Thomson Learning company Nursing Leadership & Management Patricia Kelly-Heidenthal

Teamwork Chapter 6.

Continuing Education Presentation 2008

DELEGATION. Delegation Definition – An essential decision-making skill – “Transferring to a competent individual the authority to perform a selected nursing.

About project

© 2024 SlidePlayer.com Inc. All rights reserved.

An official website of the United States government

The .gov means it’s official. Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

The site is secure. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

• Publications
• Account settings
• My Bibliography
• Collections
• Citation manager

Save citation to file

Email citation, add to collections.

• Create a new collection
• Add to an existing collection

Add to My Bibliography

Your saved search, create a file for external citation management software, your rss feed.

• Search in PubMed
• Search in NLM Catalog
• Add to Search

A practical guide to making patient assignments in acute care

Affiliation.

• 1 Definitive Observation Unit, Kaiser Permanente San Diego Medical Center, CA, USA. [email protected]
• PMID: 23232175
• DOI: 10.1097/NNA.0b013e3182785fff

Charge nurses have integral roles in healthcare organizations. Making patient assignments is an important charge nurse role that lacks theoretical support and practical guidelines. Based on a concept analysis of the charge nurse role, the author looks at a theory-gap analysis regarding how patient assignments are made and proposes a framework to guide the process of patient assignments.

PubMed Disclaimer

Similar articles

• The Nurse-Patient Assignment: Purposes and Decision Factors. Allen SB. Allen SB. J Nurs Adm. 2015 Dec;45(12):628-35. doi: 10.1097/NNA.0000000000000276. J Nurs Adm. 2015. PMID: 26565641
• Building a nursing productivity measure based on the synergy model: first steps. Kohr LM, Hickey PA, Curley MA. Kohr LM, et al. Am J Crit Care. 2012 Nov;21(6):420-30; quiz 431. doi: 10.4037/ajcc2012859. Am J Crit Care. 2012. PMID: 23117905
• Comparison of nurse workload approaches. Beswick S, Hill PD, Anderson MA. Beswick S, et al. J Nurs Manag. 2010 Jul;18(5):592-8. doi: 10.1111/j.1365-2834.2010.01124.x. J Nurs Manag. 2010. PMID: 20636508
• Nurse staffing and patient, nurse, and financial outcomes. Unruh L. Unruh L. Am J Nurs. 2008 Jan;108(1):62-71; quiz 72. doi: 10.1097/01.NAJ.0000305132.33841.92. Am J Nurs. 2008. PMID: 18156863 Review.
• Nurse staffing. [No authors listed] [No authors listed] Prairie Rose. 2005 Nov-2006 Jan;74(4):18-9. Prairie Rose. 2005. PMID: 16594185 Review. No abstract available.
• Clinical decision support system for clinical nurses' decision-making on nurse-to-patient assignment: a scoping review protocol. Kwon H, Lee D. Kwon H, et al. BMJ Open. 2024 Jan 31;14(1):e080208. doi: 10.1136/bmjopen-2023-080208. BMJ Open. 2024. PMID: 38296282 Free PMC article.
• Search in MeSH

Related information

• Cited in Books

LinkOut - more resources

Full text sources.

• Ovid Technologies, Inc.
• Wolters Kluwer

Other Literature Sources

• scite Smart Citations

Miscellaneous

• NCI CPTAC Assay Portal

• Citation Manager

NCBI Literature Resources

MeSH PMC Bookshelf Disclaimer

The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). Unauthorized use of these marks is strictly prohibited.

• Subscribe to journal Subscribe
• Get new issue alerts Get alerts

Secondary Logo

Journal logo.

Colleague's E-mail is Invalid

Your message has been successfully sent to your colleague.

Save my selection

The Nurse-Patient Assignment

Purposes and decision factors.

Allen, Stephanie B. PhD, RN, NE-BC

Author Affiliation: Assistant Professor, Pace University, Pleasantville, New York.

The author declares no conflicts of interest.

Correspondence: Dr Allen, Lienhard School of Nursing, L310, 861 Bedford Rd, Pleasantville, NY 10570 ( [email protected] ).

OBJECTIVE: 

Identify purposes and decision factors of the nurse-patient assignment process.

BACKGROUND: 

Nurse-patient assignments can positively impact patient, nurse, and environmental outcomes.

METHODS: 

This was an exploratory study involving interviews with 14 charge nurses from 11 different nursing units in 1 community hospital.

RESULTS: 

Charge nurses identified 14 purposes and 17 decision factors of the nurse-patient assignment process.

CONCLUSIONS: 

The nurse-patient assignment is a complex process driven by the patient, nurse, and environment. Further study is needed to identify factors linked to patient safety, nurse, and environmental outcomes.

Full Text Access for Subscribers:

Individual subscribers.

Institutional Users

Not a subscriber.

You can read the full text of this article if you:

• + Favorites
• View in Gallery

Readers Of this Article Also Read

Development of a nursing assignment tool using workload acuity scores, a practical guide to making patient assignments in acute care, transitioning from nurse-patient ratios to workload intensity staffing: what..., measuring patient acuity: implications for nurse staffing and assignment, sleep deprivation and error in nurses who work the night shift.

PATIENT CARE

Sep 22, 2011

730 likes | 2.33k Views

PATIENT CARE. DIRECT CARE GIVERS DEFINITION. The people that help the elderly, disabled, or ill persons live in their own homes or in residential care facilities, or a health care facility. Most work with clients who need more extensive care than the family can provide.

Share Presentation

• technicianeducation training
• dresses patients
• surplus food programs
• required training
• slight pay increases

Presentation Transcript

DIRECT CARE GIVERSDEFINITION • The people that help the elderly, disabled, or ill persons live in their own homes or in residential care facilities, or a health care facility. Most work with clients who need more extensive care than the family can provide.

DIRECT CARE GIVERSWho are they? • PERSONAL HOME CARE AIDES • HOME HEALTH AIDES • ENVIRONMENTAL AIDES • ATTENDANTS • NURSING ASSISTANTS • PATIENT CARE TECHNICIANS

PERSONAL HOME CARE AIDES • Assist elderly or disabled adults with daily living activities at the person’s home or in a daytime non-residential facility.

PERSONAL HOME CARE AIDETASKS (1/2) • Advises and assists family members in planning nutritious meals, purchasing and preparing foods, and utilizing commodities from surplus food programs. • Explains fundamental hygiene principles. • Evaluates needs of individuals served and plans for continuing services. • Assists in training children. • Prepares and maintains records of assistance rendered.

PERSONAL HOME CARE AIDE TASKS (2/2) • Gives bedside care to incapacitated individuals and trains family members to provide bedside care. • Assists clients with dressing, undressing, and toilet activities. • Assigns housekeeping duties according to children’s capabilities. • Assists parents in establishing good study habits for children. • Obtains information for client, for personal and business purposes.

PERSONAL HOME CARE AIDE EDUCATION • No formal training needed. • On the job training is generally provided.

PERSONAL HOME CARE AIDE WAGES • On average a Personal Home Care Aide will earn $7.00 per hour. • Most employers give pay increases with experience and added responsibility. Aides usually are paid only for time worked in the home. They normally are not paid for travel time between jobs.

HOME HEALTH AIDES • Provides routine, personal healthcare, such as bathing, dressing, or grooming, to elderly, convalescent, or disabled persons in the home of patients or in a residential care facility.

HOME HEALTH AIDETASKS (1/3) • Changes bed linens, washes and irons patient’s laundry and clean patient’s quarters. • Assists patients into and out of bed, automobiles, or wheelchair, to lavatory, and up and down stairs. • Administers prescribed oral medication under written direction of physician or as directed by home care nurse.

HOME HEALTH AIDETASKS (2/3) • Purchases, prepares, and serves food for patient and other family members, following special prescribed diets. • Massages patient and applies preparations and treatments, such as liniment or alcohol rubs and heat lamp stimulation. • Maintains records of services performed and of apparent condition of patient.

HOME HEALTH AIDETASKS (3/3) • Entertains patient, reads aloud, and plays cards and other games with patient. • Performs variety of miscellaneous duties as requested, such as obtaining household supplies and running errands.

HOME HEALTH AIDE EDUCATION/TRAINING (1/2) • In many cases, neither a high school diploma nor previous work experience is necessary for a job as a home health aide. • Training testing programs are offered at local career and technical centers (such as Columbiana, Mahoning and Trumbull Counties and Choffin Career Center). • Current driver’s license, good driving record and reliable transportation.

HOME HEALTH AIDE EDUCATION/TRAINING (2/2) • One year experience as a nurse aide within the last three years. • State tested nursing assistant (STNA) with at least 75 hours of classroom and practical training and pass competency test (minimum of 6 months experience as STNA preferred). • Good interpersonal skills.

HOME HEALTH AIDEWAGES • On average a home health aide will earn $8.00 per hour. • They receive slight pay increases with experience and added responsibility. They usually are paid only for the time worked in the home; they normally are not paid for travel time between jobs.

ENVIRONMENTAL AIDES • This position prepares one to enter a State approved Nurse Aide Training Program. In this position the aide becomes familiar with the facility and its residents while performing non-direct care tasks.

ENVIRONMENTAL AIDETASKS (1/2) • Transports residents to various areas, dining room, physical therapy, activities and beauty shop. • Assists residents in activities as directed by activity personnel. • Passes ice water to resident’s room. • Passes food trays to resident’s room.

ENVIRONMENTAL AIDETASKS (2/2) • Assists nurse aide as needed, buy may not toilet, bath, transfer or any other hands on care. • Visits with residents, reads mail or newspapers when appropriate. • Assists with supplying utility carts, stock linen shelves and re-supplying bathrooms. • Changes linens on resident’s beds.

ENVIRONMENTAL AIDEEDUCATION • High school diploma or equivalent is preferred.

ENVIRONMENTAL AIDEWAGES • On average an environmental aide will earn $7.00 per hour.

ATTENDANT • Assists elderly or disabled adults with daily living activities to ensure quality of life usually at an assisted living facility.

ATTENDANTTASKS (1/2) • Assists residents with bathing, dressing and grooming. • Assists residents in the dining room and with activities. • Occasionally accompany residents on outings.

ATTENDANTTASKS (2/2) • Takes meal trays to resident’s rooms when needed. • Makes residents’ beds. • Assists with medications. • Assists with laundry.

ATTENDANTEDUCATION • High school diploma preferred, but not required. • Will be trained in CPR and First Aid on the job and some facilities have their own Resident Attendant Training Class.

ATTENDANTWAGES • On average an attendant will earn $8.00 per hour. • Most employers give pay increases with experience and added responsibility.

NURSE AIDE • As the principal caregiver, provides basic patient care under direction of nursing staff. The nurse aide must be able to interact with the resident in a positive, caring way.

NURSE AIDETASKS (1/2) • Feeds patients unable to feed themselves. • Sets up treatment equipment. • Prepares food trays. • Bathes, grooms and dresses patients. • Measures and records vital signs.

NURSE AIDETASKS (2/2) • Assists patients to walk. • Turns and repositions bedfast patients, alone or with assistance, to prevent bedsores. • Transports patients to other areas of the facility. • Measures and records food and liquid intake and output. • Administers massages and alcohol rubs.

NURSE AIDE EDUCATION/TRAINING (1/2) • Complete nurse aide training program (minimum of 75 hours) and pass competency test to become state tested (required within 4 months of class end). • Required to be registered with the State of Ohio.

NURSE AIDEEDUCATION/TRAINING (2/2) • Nurse aide training is offered in high schools, vocation-technical centers, some nursing homes and some community colleges. • Training offered in our area at: • Columbiana County Career & Technical Center • Mahoning County Career & Technical Center • Trumbull Career & Technical Center • Choffin Career Center • Local nursing homes

NURSE AIDEWAGES • On average a nurse aide will earn $8.00 - $9.00 per hour. • Pay increases to be expected with experience and added responsibility.

PATIENT CARE TECHNICIAN • Provides basic patient care under the direct supervision of a Registered Nurse in a hospital setting.

PATIENT CARE TECHNICIANTASKS (1/2) • Performs EKGs (certified technician). • Draws blood (certified phlebotomist). • Obtains and records vital signs. • Assists bathing, grooming and dressing needs. • Assists with feeding, hygiene and eliminations needs.

PATIENT CARE TECHNICIANTASKS (2/2) • Anticipates patient’s needs and responds immediately and courteously. • Collects and transports specimens. • Answers phones courteously and responds to caller’s needs. • Cleans patient’s rooms, equipment and supplies. • Lifts, ambulates and transports patients.

PATIENT CARE TECHNICIANEDUCATION/TRAINING • Required training and testing varies per facility, but is available at the local hospitals and career and technical centers. Training offered in our area at: • Columbiana County Career & Technical Center • Mahoning County Career & Technical Center • Trumbull Career & Technical Center • Choffin Career Center • Local hospitals

PATIENT CARE TECHNICIANWAGES • On average a patient care technician will earn $10.00 - $15.00 per hour. • Most employers give pay increases with experience and based on the market.

JOB OUTLOOK (1/3) • A direct care giver is expected to be one of the fastest growing occupations through the year 2010.

JOB OUTLOOK (2/3) • The number of elderly people is projected to rise substantially. • Mounting health problems requiring some assistance. • Increasing reliance on home care for patients of all ages.

JOB OUTLOOK (3/3) • The need to move patients out of hospitals as quickly as possible to home, assisted living and long-term care facilities. • Treatment is more effective in familiar surroundings rather than a clinical setting. • The improvement of medical technologies for in-home treatment. • Increased acute care givers needed in the hospital environment.

• More by User

Patient Surgery Care

Highly trained and experienced physicians at North Tampa Outpatient Surgical Facility provides surgical services like General Surgery, Plastic & Reconstructive Surgery, Urology, Bariatric, Pain Management surgery care treatments to the patients.

481 views • 6 slides

Tactical Patient Care

Body Armor. Interwoven fibers of Kevlar

560 views • 20 slides

Patient Care

Objectives. To review most of the facts that are essential to understanding patient care and management.. Preparation. GI

566 views • 0 slides

PATIENT CARE TEAMS

PATIENT CARE TEAMS. North Hudson Community Action Corporation Health Center Maritza De La Rosa, MD Nishie Perez, MA, RN Family Medicine Organizational Improvement Director. NHCACHC. Community Action Corporation Active since 1963 Services include:

526 views • 37 slides

Patient Care Orientation

Patient Care Orientation. Part Two. Restraint Use. Your Role In Restraint Use . The restraint event begins with the RN assessment. Other disciplines contribute data to this assessment. Alternatives to Restraints

773 views • 34 slides

Patient-Centered Care:

Patient-Centered Care: . A QSEN Competency. Projects to Date. Root cause analysis on near misses Description of staff work-arounds Critique of hand-off Use of SBAR for gathering and reporting patient data Use of QSEN competencies for careplanning Interprofessional Experience

875 views • 16 slides

Patient Care. Human diversity, patient interactions, history taking. Patient Care Part I and II. Human Diversity Patient Interactions Patient History taking Infection control Aseptic Technique Vital Signs Medical Emergencies. Terminology. Diversity Gerontology Pertinent Cultural

1.39k views • 27 slides

Patient Care Coordination

Patient Care Coordination. IHE Workshop 2006 IHE Patient Care Coordination Education John Donnelly. Primary Membership. Physician Associations & Colleges ACP, AAP, AAFP, FACEP EMR & Other Department System Vendors Ambulatory, Inpatient, Emergency Dept PHR Vendors

538 views • 39 slides

PATIENT CARE CONCEPTS

PATIENT CARE CONCEPTS. Outline. Physical health and its relationship to the ST and the surgical patient Post-operative complications Equipment and immediate access PACU criteria Post-operative discharge instructions K übler-Ross Stages of Grief/Death and Dying

475 views • 24 slides

Optimizing Patient Care

Optimizing Patient Care. From Bench to Bedside and Back Again. Optimizing Patient Care. From Beside to Bench and Back Again. Day 1. Day 2. Day 3. From bedside to bench to bedside. What's missing?. And back again. So what’s needed to complete the picture? The MIC of the pathogen

481 views • 22 slides

Patient Care Coordination. IHE Workshop 2006 IHE Patient Care Coordination Education Keith W Boone, John Donnelly, Larry McKnight MD, Dan Russler MD. Primary Membership. Physician Associations & Colleges ACP, AAP, AAFP, FACEP EMR & Other Department System Vendors

683 views • 50 slides

Patient-Centered Care

Patient-Centered Care. Debi Temple, Bella Pepito, Carolina Puig, & Jeff Norris. Evolution of Patient-Centered Care. Founded by a patient named Angelica Thieriot in 1978. Planetree: a non-profit organization that promotes patient centered care.

902 views • 20 slides

Improving Patient Care

Improving Patient Care. “Leveraging Our United Strength to Advance Tribal Self-Governance” Self Governance Annual Conference New Orleans, LA May 7, 2012. Indian Health Service Mission.

426 views • 26 slides

Patient care services

Ambulances may be transformed to mobile Operation Theatres (OT) for providing extended care with advanced practices. In-house equipment include operation table, anaesthesia machine, cautery machine, patient monitors and defibrillators for performing basic surgeries. For more read the blog.

78 views • 3 slides

• Preferences

Patient Care Management - PowerPoint PPT Presentation

Patient Care Management

As you enter mr. callahan's room, you ask him how he is feeling. ... side, grimace on his face, flushed skin do not match what mr. callahan is saying. ... – powerpoint ppt presentation.

• Justina Aguirre, RN, MSN
• 351-3550 direct work line
• 351-3286 alternate work line
• 344-5005 home
• aguirres_at_adelphia.net
• Gain knowledge in
• patient care leadership and critical thinking processes
• Completion of ALL individual assignments
• journals, reports, presentations, attendance, and participation
• Completion of ALL group assignments
• reports, presentations, and participation
• Participation includes
• Class discussion
• Exercises in class
• Class participation readiness
• Reading assignments
• Internet assignments
• Group assignments
• Send an email with the information requested to the instructor at aguirres_at_adelphia.net. Be sure to include your full name and your preferred name
• Log onto the internet web site http//www.lib.berk eley.edu/TeachingLib/Guides/Internet/Evaluate.html . Read Evaluating Web Pages Techniques to Apply Questions to Ask
• Log onto the internet web site http//www.aeb.org/
• Evaluate web site 2 using the information you learned in web site 1
• Email your evaluation to the instructor
• Job pays well
• Like people
• Illness loved-one
• Medicine too long
• Like science
• Work/volunteer in healthcare
• 1st step toward my final goal
• Counselor guided
• Relative guided
• Professional"
• Set example for loved-ones
• Like to meet needs of others
• Like change and diversity
• What is in your minds eye?
• What should a nurse look like?
• Do not use words in the drawing
• When finished, the group leader will present and explain the drawing
• Trustworthy Commitment
• Communicates Listens
• Knowledgeable Prepared
• Smiles Professional
• Nurses leaders need
• Time management
• Communication
• Students need
• Adjust to student life
• Know self as a person (chapter 2)
• Effectiveness Make situation better
• Efficiency maximize time, resources, effort
• Do you work better under pressure
• Do you take all day, but get nothing done
• Schedule should be realistic AND allow for
• Rest recuperation
• Emergencies
• Missed deadlines money
• If time mgmt improved 10 for 7 people
• 1 Mrg _at_ 34/hr would save 7,072/yr
• 4 RNs _at_ 22/hr would save 18,304/yr
• 2 LVN _at_ 16/hr would save 6,656/yr
• Total savings 32,032/yr
• You could hire another LVN!
• Allow time to plan
• Re-prioritize based on new info
• Assert control over own time
• Handle paperwork efficiently
• Identify common time wasters
• Learn when to say NO when not to
• Know your high energy hours are you a morning or nite person?
• When do you save or waste time? Time logs may help
• Document or chart as you go
• Clarify any requests for your time
• Time lines for long range planning
• Make To do lists
• part of daily plan
• report sheet
• Determine priorities or which tasks are
• time related
• What skills are needed for each task
• Limit length of to do lists
• Organize your work
• Develop a system for homework and for chart documentation
• Do Not Depend On Memory!
• Avoid clutter in the work area.
• A clean desk is a sign of boring person is wrong!
• Management by crisis. Respond by doing hardest task first if possible
• Telephone or visitor interruptions. Learn to say, I do not have the time now
• Conflicting duties. Respond by setting goals work toward your goal
• Attempting too much. Learn to say no (See step 1)
• Poor communication
• straight forward without offending
• aware of people who drain energy
• learn to negotiate
• Lack information about duty/role
• Procrastination
• just change the behavior, dont try to explain it away
• 26 questions to answer for self
• Add your scores as per page 281
• Total scores on page 282 will let you know areas to work on
• Log of everything you do for 2 days
• Record how you felt (emotionally) for each activity
• At the end of 2 days, review what you wrote in their log
• Evaluate your use of time based on what was discussed in class
• Email to your instructor with your real thoughts on this exercise
• Definitions
• Exchange of information
• Exchange of words or meaning
• Message is passed from
• sender to a receiver,
• hopefully with intended message understood
• Verbal, non-verbal, write
• Sender Message Receiver
• Putting the senders intended message into words, gestures, expressions, cultures effects....
• Variables and barriers can effect (more later)
• Meaning dependent on receivers interpretations, perceptions, and values
• distance, equipment, wall, computer...
• space and territory
• Environmental
• noise disturbing, static on phone, crowds
• e-mail glitches
• Work Structures
• authority reporting structures
• roles or relationships
• time constraints
• Personal bias
• Past experiences
• Spiritual values
• Stereotyped responses
• Control issues
• Rules, regulations...
• Too many demands (overload!)
• Too many messages
• Expressed disapproval
• Nonverbal barriers
• Expressions, body language
• Emotions attitudes
• Lack of trust
• Roles insincerity
• Belittling feelings
• Yes or no questions
• Personal questions
• Or just changing the subject without asking
• Intimate 18 inches
• Personal up to 4 ft
• Social up to 12 ft
• Public 12 ft
• Traditional nurse
• Cute little girl
• I dont care
• Career nurse
• actively vs passively
• no white out
• requires reading with meaning
• face to face
• formal and informal
• rounds and patient conferences
• With Patients
• Avoid frivolous conversation.
• Avoid joking.
• Show respect.
• Be honest in relationships.
• Ask questions.
• Clarify phrases.
• Have a clear purpose.
• Ensure confidentiality.
• You need empathy and sympathy
• Empathy includes an intellectual understanding of the experience.
• Sympathy includes an emotional component of the experience.
• Special Situations
• Non-English speaking
• Hearing impaired
• Vision impaired
• Speech impaired
• Remember Communication Process
• (next slide)
• Will not go away
• Occurs on all levels is 75 accurate
• Natural motivation to exchange information
• Influences others source affects the strength
• If staff have enough information, it may satisfy their need and may be no need to start rumor
• Take time to listen clarify before speaking
• Teach yourself to concentrate to listen
• to what is being said real message
• not just how it is said
• consider physical and human setting
• listen with your eyes
• Suspend judgment
• Keep staff informed keep lines of communication open
• Make desired impact through tone of voice choice of words
• Learn from the grapevine
• Give positive feedback frequently
• Give negative feedback
• privately in timely, accurate, objective manner
• based on observed behavior
• give suggestions for alternative behaviors
• avoid put downs or blaming
• Page 61 -62
• Eric worked the night shift, and received report from Mary. Mary would talk of the difficult day, patients that were a pain, and excuses why things were not done. Eric often began his shift by picking up after Mary.
• Eric did not discuss this with anyone, but was becoming very frustrated.
• One day he snapped... Mary , what is your problem? Everything is left for me to do, and all you give me are excuses. Besides complaining, what else do you do all day?
• What type of communicator is Eric
• Identify the behavior Eric exhibited that enabled Mary to continue hers
• If you were Eric, what other approach would be more constructive
• If you were a team member how would you respond
• One of your very close friends, who knows you are in nursing school, called and said he thinks he might have AIDS.
• He said he doesnt know what to do or whom to trust. He wants to meet you after school tomorrow because he said he needs to talk to someone.
• You want to be there for your friend, but you realize how little you really know about AIDS. What are you going to do?
• Be there for him.
• Your friend thinks he has AIDS. How does this affect what the friend should do?
• How can you learn more about AIDS in a short period of time? What are reliable sources of information?
• How can you identifying facts and avoiding jumping to conclusions.
• As you enter Mr. Callahans room, you ask him how he is feeling. He replies in a pinched voice, I am fine, thank you.
• You notice that his hand is clutching his side, he has a grimace on his face, and his skin is flushed.
• What responses would be appropriate in this situation?
• Using the critical thinking skills in Box 1-2...
• Suggestions to distinguish between fact and fallacy.
• The factsclutching his side, grimace on his face, flushed skindo not match what Mr. Callahan is saying. So, what would you ask?
• You are saying that you are fine but you are clutching your side. Your face looks like you are in pain, and your skin is flushed. What does that mean?
• Could have just taken niacin or washed face?
• Could have a grimace because the coffee tasted awful?
• Could he be clutching side because of hospital gown?
• You are a female nurse and you have a patient who has refused to allow you to bathe him for 3 days. He has had a high fever, is unable to get out of bed, and his skin condition is deteriorating.
• You know that in his culture, most people bathe no more than once a week. You also think that he might have a cultural code that forbids him to be alone with a woman.
• What might resolve this situation?
• See situation from many perspectives.
• Patient should have a daily bath and skin care.
• Family can get the patient to agree to a bath?
• Male nurse can give the bath
• Maybe the patient can bathe himself.
• Other possible solutions to this problem.
• Your Physical Health
• Rest and exercise
• Personal hygiene
• Chemical dependence
• Personal illness
• Your Emotional Health
• Understanding yourself
• Personality
• Personal values and beliefs
• Stress see page 49 for another exercise
• Your Career
• Continuing education
• Career plans
• Future .... More in later classes
• Thank you for substituting!

PowerShow.com is a leading presentation sharing website. It has millions of presentations already uploaded and available with 1,000s more being uploaded by its users every day. Whatever your area of interest, here you’ll be able to find and view presentations you’ll love and possibly download. And, best of all, it is completely free and easy to use.

You might even have a presentation you’d like to share with others. If so, just upload it to PowerShow.com. We’ll convert it to an HTML5 slideshow that includes all the media types you’ve already added: audio, video, music, pictures, animations and transition effects. Then you can share it with your target audience as well as PowerShow.com’s millions of monthly visitors. And, again, it’s all free.

About the Developers

PowerShow.com is brought to you by  CrystalGraphics , the award-winning developer and market-leading publisher of rich-media enhancement products for presentations. Our product offerings include millions of PowerPoint templates, diagrams, animated 3D characters and more.

Pardon Our Interruption

As you were browsing something about your browser made us think you were a bot. There are a few reasons this might happen:

• You've disabled JavaScript in your web browser.
• You're a power user moving through this website with super-human speed.
• You've disabled cookies in your web browser.
• A third-party browser plugin, such as Ghostery or NoScript, is preventing JavaScript from running. Additional information is available in this support article .

To regain access, please make sure that cookies and JavaScript are enabled before reloading the page.